Reporting Form

How do I report Title IX violations?

If you are in an emergency situation that requires medical, psychological, or police services, call 911.  Do not use the online reporting form below if you need an immediate response.

Any student who believes that he/she OR another student has experienced sexual discrimination, harassment, misconduct or violence should immediately report the alleged acts to:

  • any Blinn Employee or Resident Assistant (RA)
  • any Blinn Campus Police Officer
  • any Blinn Counselor or Nurse (or staff) (CONFIDENTIAL)

Violations may also be reported via:

Title IX Hotline at  979-830-4700 
Title IX Email at  titleix@blinn.edu ,

or by using the online reporting form below. You have the option to fill in your contact information or submit the report anonymously. Reports submitted anonymously may limit our ability to follow up on an incident. Once a report is submitted online, a copy is emailed to the Title IX Coordinator for appropriate review and necessary action.

All Employees/RAs/Campus Police Officers who receive a report must disclose all information to the Title IX Coordinator/Specialist.

EXCEPTION - A person who holds a professional license requiring confidentiality, such as a counselor or nurse, or who is supervised by such a person shall not be required to disclose a report of prohibited conduct without the student’s consent.

Complainants are strongly encouraged to report violations and have the right to report violations without further participation in any investigation.

Retaliation for reporting Title IX incidents is strictly prohibited.

Title IX - Reporting Form
First Name:
Last Name:
Blinn ID Number:
Email Address:
Phone Number:
Street Address:
City:
State:
Zip Code:
Country:

Supporting Documentation
( PDF OR WORD ONLY)

Related Links

Title IX Hotline
979-830-4700

Title IX Email
titleix@blinn.edu

Title IX Coordinator
Dr. Bennie Graves
Bryan Campus
979-209-7400

Title IX Coordinator for 
Faculty and Staff

Marie Kirby 
Bryan Campus
979-209-7337

Title IX Investigator
Adrienne Mccain 
Brenham Campus
(979) 830-4216